{"id":36313,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-de-la-planimetria-como-base-terapeutica-para-el-tratamiento-de-la-litiasis-coraliforme\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"utilidad-de-la-planimetria-como-base-terapeutica-para-el-tratamiento-de-la-litiasis-coraliforme","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/utilidad-de-la-planimetria-como-base-terapeutica-para-el-tratamiento-de-la-litiasis-coraliforme\/","title":{"rendered":"Utilidad de la planimetria como base terapeutica para el tratamiento de la litiasis coraliforme."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Luis Ibarz Servio <\/strong><\/h2>\n<p>Introducci\u00f3n con la aparici\u00f3n en los a\u00f1os 80 de la litotricia extracorp\u00f3rea por ondas de choque (leoc) ha cambiado radicalmente el tratamiento de los c\u00e1lculos, hasta entonces basado en la cirug\u00eda. Sin embargo, permanece en controversia el tratamiento de los coraliformes existiendo en la actualidad 4 opciones terape\u00faticas:  leoc, nefrolitotom\u00eda percut\u00e1nea (nlp), nlp litorreductora seguida de leoc y cirug\u00eda abierta (cir).  hip\u00f3tesis seleccionar la modalidad terap\u00e9utica de la litiasis coraliforme de acuerdo a sus medidas obtenidas mediante planimetr\u00eda.  objetivos 1. Valorar los factores pron\u00f3sticos de una serie de 388 coraliformes tratados por medio de leoc, nlp o cir.  2. Validar la planimetr\u00eda como m\u00e9todo de selecci\u00f3n terape\u00fatica en funci\u00f3n de los resultados obtenidos.  material y m\u00e9todos el material lo constituyen 355 pacientes con 388 c\u00e1lculos coraliformes. Todos ellos cumpl\u00edan el criterio de ocupaci\u00f3n de al menos 3\/4 partes del sistema colector renal. El protocolo pretratamiento incluy\u00f3 una valoraci\u00f3n cl\u00ednica general, estudios anal\u00edticos, estudios radiol\u00f3gicos, valoraci\u00f3n anest\u00e9sica, consentimiento informado y profilaxis antibi\u00f3tica.  en el protocolo de tratamiento el grupo leoc lo forman 263 pacientes con 278 c\u00e1lculos tratados con un litotritor dornier hm-3 modificado, el grupo nlp 52 pacientes con 66 c\u00e1lculos tratados mediante nefrolitotom\u00eda percut\u00e1nea y leoc de los restos cuando los hubo, el grupo cir lo forman 40 pacientes con 44 c\u00e1lculos intervenidos preferentemente mediante pielolitotom\u00eda intrasinusal.  la planimetr\u00eda se realiz\u00f3 con un plan\u00edmetro electr\u00f3nico kp-90 (koizumi elevado r) apoyado sobre una rs en un negatoscopio de sobremesa. Se midieron el \u00e1rea de la porci\u00f3n pi\u00e9lica del c\u00e1lculo (ap), el \u00e1rea total del c\u00e1lculo (at) y el cociente de ambas (ap\/at) que denominamos \u00edndice planim\u00e9trico (ip). Todas las mediciones se efectuaron 3 veces y se tom\u00f3 como v\u00e1lida l<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad de la planimetria como base terapeutica para el tratamiento de la litiasis coraliforme.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad de la planimetria como base terapeutica para el tratamiento de la litiasis coraliforme. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Luis Ibarz Servio <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jaume Fern\u00e1ndez Llamazares Rodriguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antoni Gelabert Mas <\/li>\n<li>Celestino Barastegui Almagro (vocal)<\/li>\n<li>Narciso Serrallach Mila (vocal)<\/li>\n<li>Pere Barcelo Reverter (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Luis Ibarz Servio Introducci\u00f3n con la aparici\u00f3n en los a\u00f1os 80 de la litotricia extracorp\u00f3rea por ondas [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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